OBGYN 3 Flashcards
indication for cerclage
h/o incompetent cervix
h/o preterm delivery and short cervix found on US in 2nd trimester
reasons why TMP-SMX CI in pregnancy
1st trimester: interferes w/ folic acid metabolism
3rd trimester: kernicterus
most accurate dating gestational age
first trimester US with crown rump length
when estimated gestational age with LMP differs from ultrasound by ____, change to ultrasound date
more than 7 days in 1st trimester US
more than 10 days in 2nd trimester US
DIC in pregnancy associated with
amniotic fluid embolism
preeclampsia
sepsis
risk factors for postpartum uterine atony
prolonged labor
chorioamnionitis
uterine over distention (mult gestations, polyhydram)
retained placenta
list 3 uterotonics and their contraindications
oxytocin
methylergonovine (incr BP)
carboprost (asthma)
reasons why pregnant are screened for asymptomatic bacteriuria
low birth weight
incr risk pyelonephritis
what happens to BUN and Cr in pregnancy, and why?
decrease
increase renal plasma flow and GFR
isotretinoin birth defects
craniofacial
heart
deafness
type of wrist pain in new mothers, and what tendon
de quervain tenosynovitis
abductor pollicis longus and extensor pollicis brevis
when to screen for asymptomatic bacteriuria
1st trimester
3 tumors that cause maternal virilization
luteoma
theca luteum cyst
Krukenberg tumor
indications for NST
high risk pregnancies starting at 32-34 weeks
loss of perception of fetal movements
causes of fetal tachycardia
maternal fever
maternal hyperthyroidism
meds (terbutaline)
abrupio placentae
sinusoidal fetal heart tracing
fetal anemia
causes of variable decels
cord compression
cell free DNA can detect
trisomy 13, 18, 21
gestational DM screen
24-28 weeks with OGTT
OR if high risk / sxs, can do A1c in first trimester
ATBs for UTI
nitrofurantoin
PCN
amox-clav
fosfomycin
persistent bacteriuria (after at least 2 courses of therapy)… management?
daily prophylactic therapy for rest of pregnancy
preferred OCP in lactating women and why
progesterone only pill
- doesn’t affect milk
- no risk of VTE
patient does not want to breastfeed anymore. what to do
tight fitting bra
ice packs
DES female and male babies
female: hooded cervix, T shaped uterus, small uterine cavity, vaginal septae
male: hypospadias, cryptorchidism, microphallus, testicular hypoplasia
foamy macrophages and fat globules on breast biopsy is
and calcifications on mammo, and fixed irregular mass
fat necrosis
fetal anemia associated with
vasa previa
suspect endometrial cancer… workup
premenopausal: endometrial biopsy
postmenopausal: transvaginal ultrasound
timing of pain in endometriosis
2 weeks up to right before menses
woman 25+, ASCUS.. and HPV +, next step
colposcopy
woman 25+, ASCUS.. and HPV neg, next step
Pap and HPV in 3 years
woman 21-24 and ASCUS or HSIL, next step
repeat in 1 year
cervical cancer screening for immunocompromised (including SLE)
start at onset of sexual activity
Q 6 months x 2
then annually
